Facet Joint Injections

Overview
The facet joints, found on both sides of the back of
the spine, can become painfully irritated or
inflamed. A facet joint injection may help diagnose
the source of a patient's pain. It can also relieve
pain and inflammation.


Skin Numbed
In preparation for the procedure, the physician
numbs the skin and tissue above the facet joint with
an injection of local anesthetic.


Placement Confirmed
With the aid of an x-ray device called a fluoroscope,
the physician guides a needle through the numbed
tissue and into the facet joint. Contrast dye is
injected into the joint to confirm the needle's
placement.


Medication Injected
Once the needle is positioned properly, the
physician injects a soothing mixture of numbing
anesthetic and anti-inflammatory steroid
medication. One or more facet joints may be
treated. If this causes the pain to subside, it
suggests that the facet joint (or joints) injected were
the cause of pain.


End of Procedure
Back or neck pain may disappear immediately after
a successful injection because of the anesthetic
that is administered. As this anesthetic wears off,
pain may return. The steroid will begin to take effect
in the days after the injection. The steroid will
reduce inflammation and pain. The injection is performed not only to help with the neck and/ or back pain, but also to confirm the diagnosis. It is often time referred to as diagnostic and therapeutic.

Watch the video description below

Lumbar Facet Joint Injections by Dr. G.

Cervical Facet Joint Injections by Dr. G. 

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